American Society for Metabolic and Bariatric Surgery 2020 estimate of metabolic and bariatric procedures performed in the United States
American Society for Metabolic and Bariatric Surgery 2020 estimate of metabolic and bariatric procedures performed in the United States
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DOI：
10.1016/j.soard.2022.06.284
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发表时间：
2022-09-06
影响因子：
3.1
通讯作者：
English, Wayne
中科院分区：
文献类型：
--
作者：
Clapp, Benjamin;Ponce, Jaime;English, Wayne
背景：代谢和减肥手术 (MBS) 尽管是肥胖症唯一有效的持久治疗方法，但仍未得到充分利用，约占所有符合手术资格的患者的 1%。美国代谢和减肥手术协会创建了一个数字工作组，以指定肥胖治疗干预措施的年利用率，并确定有需要的患者是否正在接受适当的治疗。目的：本研究的目的是提供 2020 年在美国进行的代谢和减肥手术的最佳估计数量。地点：美国。方法：我们回顾了代谢和减肥手术认证的数据 和质量改进计划 (MBSAQIP)、国家手术质量改进计划、减肥结果纵向数据库和全国住院患者样本。此外，来自行业和国家数据库的数据被用来估计未经认可的中心的活动。 2020年的数据主要与前两年的数据进行比较。结果：与2019年相比，2020年MBS的总执行人数从约256,000人减少至199,000人。袖状胃切除术仍然是最常见的手术。胃绕道手术趋势保持相对稳定，胃束带手术趋势持续下降。翻修手术和胆胰改道十二指肠转接手术的百分比略有增加。单吻合十二指肠回肠造口术于 2020 年首次上市。胃内气球放置量较前一年有所下降。结论：2019 年至 2020 年，MBS 体积减少了 22.5%，恰逢 COVID-19 大流行。袖状胃切除术仍然是主要手术方式，MBSAQIP 数据库首次报告了单吻合十二指肠回肠造口术。 （Surg Obes Relat Dis 2022；18：1134-1140。）(c) 2022 年美国代谢和减肥外科学会。由爱思唯尔公司出版。保留所有权利。
Background: Metabolic and bariatric surgery (MBS), despite being the only effective durable treat-ment for obesity, remains underused as approximately 1% of all patients who qualify undergo sur-gery. The American Society for Metabolic and Bariatric Surgery created a Numbers Taskforce to specify annual rate of utilization for obesity treatment interventions and to determine if patients in need are receiving appropriate treatment.Objective: The objective of this study was to provide the best estimated number of metabolic and bariatric procedures performed in the United States in 2020.Setting: United States.Methods: We reviewed data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), National Surgical Quality Improvement Program, Bariatric Out-comes Longitudinal Database, and Nationwide Inpatient Sample. In addition, data from industry and state databases were used to estimate activity at nonaccredited centers. Data from 2020 were compared mainly with data from the previous 2 years.Results: Compared with 2019, the total number of MBS performed in 2020 decreased from approximately 256,000 to 199,000. Sleeve gastrectomy continues to be the most common proced-ure. The gastric bypass procedure trend remained relatively stable, and the gastric band proced-ure trend continued to decline. The percentage of revision procedures and biliopancreatic diversion with duodenal switch procedures increased slightly. Single-anastomosis duodeno-ileos-tomy was listed for the first time in 2020. Intragastric balloons placement declined from the pre-vious year.Conclusion: There was a 22.5% decrease in MBS volume from 2019 to 2020, which coincided with the COVID-19 pandemic. Sleeve gastrectomy continues to be the dominant procedure, and for the first time, single-anastomosis duodeno-ileostomy is reported in the MBSAQIP database. (Surg Obes Relat Dis 2022;18:1134-1140.)(c) 2022 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.